NPI | 1427698224 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MO 2020002094) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MO 2007005141) |
163WG0000X Registered Nurse, General Practice (Licence: KS 14-120092-122) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: KS 53-81698-122) | |
Enumeration Date | 2020-01-09 |
Last Update Date | 2023-01-24 |